Individual
ISHAAN SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3170
Mailing address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.085009
IL
207Q00000X
Family Medicine Physician
Primary
4351051693
MI
Other
Enumeration date
07/13/2023
Last updated
07/04/2024
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